Perioperative medicine & outcomes

Perioperative Stroke Following Implantation of Left Ventricular Assist Device: A Retrospective Cohort Study

J Cardiothorac Vasc AnesthPublished Retrospective cohort study

Authors' conclusion

LVAD patients carry a high risk of perioperative stroke. They experience delayed recognition and diagnosis, limited intervention, and poor outcomes.

Study context

Population
Adults receiving an left ventricular assist device (LVAD) at St. Paul's Hospital, Vancouver, Canada, January 1, 2008–August 31, 2021, excluding intraoperative deaths and concurrent cardiac surgeryincluded and analysed
Participants
172 adults
Outcome
Perioperative stroke
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Rate of perioperative stroke

12.8%

22/172

Observational data: associations, not effects.

Further findings

Outcomes after perioperative stroke

Significantly lower cumulative incidence of survival to cardiac transplantation with perioperative stroke
Significantly higher cumulative incidence of dying with device in situ with perioperative stroke

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Perioperative Stroke Following Implantation of Left Ventricular Assist Device: A Retrospective Cohort Study. J Cardiothorac Vasc Anesth. Published 26 November 2024. doi:10.1053/j.jvca.2024.11.025

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